Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Gregory Balmforth (NPI 1780602367)

Field	Value
Entity Type	Individual
Organization	Gregory Balmforth
Address	801 S Stevens St
City	Spokane
State	WA
ZIP	99204
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicare	$219K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	470	$110	$49.6K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	250	$100	$26.1K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	460	$50	$21.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	980	$10	$12.7K
74178	The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…	60	$200	$12K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	110	$80	$8.7K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	210	$40	$8.3K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	130	$60	$7.7K
74183	The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast.	50	$160	$7.4K
76705	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	160	$40	$6.4K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Gregory Balmforth — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77067	122	350	110	$70	$30.2K
77063	118	350	110	$40	$15.1K
74177	96	550	110	$80	$12.3K
74183	52	160	30	$140	$6.6K
71275	182	400	60	$70	$5.6K
19083	63	90	20	$250	$5.3K
93880	300	320	40	$80	$5.1K
74176	95	440	50	$70	$5.1K
77049	90	100	20	$160	$4.7K
77066	83	170	50	$60	$4.6K

Showing 1–10 of 36

Related Providers

Other providers that share a Tax Identification Number (TIN) with Gregory Balmforth, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverside Radiology And Interventional Associates Inc	OH	Diagnostic Radiology Physician	$0	$30.3M
Moses Lake Community Health Center	WA	Dental Clinic/Center	$0	$26.7M
Radiology Alliance PC	TN	Diagnostic Radiology Physician	$0	$13.2M
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6	WA	Critical Access Hospital	$0	$11.6M
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6	WA	Rural Health Clinic/Center	$0	$10.5M
Grant County Public Hospital District No. 3	WA	Critical Access Hospital	$0	$8.8M
Moses Lake Community Health Center	WA	Federally Qualified Health Center (FQHC)	$0	$7.6M
Integra Imaging, Ps	WA	Diagnostic Radiology Physician	$0	$7.5M
Grant County Public Hospital District #2	WA	Critical Access Hospital	$0	$7.3M
Inland Imaging LLC	WA	Diagnostic Radiology Physician	$0	$6.8M

Nearby Providers

Other providers in the same ZIP code as Gregory Balmforth, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Wa	WA	General Acute Care Hospital	$0	$78.7M
Providence Health & Services Washington	WA	Pulmonary Disease Physician	$0	$78.6M
Multicare Health System	WA	General Acute Care Hospital	$0	$55.1M
New Horizon Care Center, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$20.2M
Spokane Addiction Recovery Centers	WA	Substance Abuse Rehabilitation Facility	$0	$19M
Spokane Emergency Care Physicians PLLC	WA	Emergency Medicine Physician	$0	$13.9M
Spokane Emergency Physicians, Ps	WA	Emergency Medicine Physician	$0	$13.1M
Providence Health & Services Washington	WA	Clinical Medical Laboratory	$1.6M	$9.3M
Spokane Eye Clinic Ps	WA	Multi-Specialty Clinic/Center	$0	$8M
Laboratory Corporation Of America	WA	Clinical Medical Laboratory	$1.6M	$6.1M

Gregory Balmforth — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References